Published Nov 11, 2008
pedspnp
583 Posts
Ok I was at my present job for 7 months, I worked in a clinic, seemed to be doing well, went in extra, etc. etc. any way on friday I get a call from my NM. seems that 2 docters went to the Medical Director with concerns about my nursing skills. ( they would not elaborate ) I have been a nurse for 15 years, and was told that 2 docters did not want to work with me alone on weekends. we only have one nurse on weekends, during the week there are 1 rn or lvn and a ma. They would not give me any specific details as to what the concerns were nor was I asked for my side of the situation, so I resigned the more I think about it the madder I get. I am almost done with my PNP program, and I admit on a couple of occassions I did bring up current guidelines that were not being followed. So what do I do just move on, another nurse told me that the Med director was looking to replace some RNs with MA's to save $$. Since I was the last one hired first to go.
CHATSDALE
4,177 Posts
sometimes all you can do is move on
perhaps you were not diplomatic [sp} when you were talking for guidelines..that is not to say that was the problem but maybe something to think about
now MOVE ON get a new job, do your work , don't give these people a second though..you have the rest of your life so enjoy every minute of it
Dolce, RN
861 Posts
Well, they lost a real asset and hopefully that will come back to bite them in the end. When an organization treats employees this poorly everyone eventually suffers--patients, coworkers, physicians.
thanks, I was really stunned esp after 1 month before I had a glowing eval, go figure :redbeathe
sissiesmama, ASN, RN
1,898 Posts
Hey - I am so sorry to hearyour situation. Sounds like they lost a really good nurse. I wish you luck in finding another position somewhere where they will appreciate your good heart and skills. Sounds like they didn't deserve you.
Keep us updated, and good luck!
Anne, RNC
SuesquatchRN, BSN, RN
10,263 Posts
I'm sorry.
One thing that I have learned is that people do NOT like to be brought up to speed on best practice, especially if it might cost them money. Unfortunate, but true.
Katie82, RN
642 Posts
As a former Practice Administrator of a 7-doc practice, I see three possible things going on here. First is that that if they are restaffing with MAs to economize, you are a likely candidate to be eliminated. Second, as a soon to be PNP, you will probably be leaving soon anyway, so why not get rid of you now? Thirdly, and perhaps most important could be that the docs were offended by the manner in which you brought up current guidelines that were not being followed. As a new PNP, you will learn that any correction you offer to MDs has to be done with extreme subtlety. I used to say something like "You know, I read the new guidelines for blah, blah, blah. Just curious, what do you think of them? " Plants the seed, and usually changes behavior.
In my job as a case manager I still use that strategy, works every time, and no one is offended. Docs have tremendous egos, they have gone from being demi-gods to seeing their authority stripped away by cost conscious administrators, insurance companies, and patients who spend time on the internet. In my PA position, I actually supervised my docs and wrote their evaluations, with input from my practice Medical Director. I loved that job because it gave me great insight into how large medical systems work, and especially how docs feel about their jobs.
barefootlady, ADN, RN
2,174 Posts
Dust yourself off and start looking. There seems to be the three issues mentioned above and the fact that these docs are just a little afraid you will outshine them.
Sorry this happened, but if the eval was good a month ago, take that as a sign the practice is looking to cut costs and you are the first one to feel those measures.
Good luck.
mscsrjhm
646 Posts
. I loved that job because it gave me great insight into how large medical systems work, and especially how docs feel about their jobs.
I am so curious, only working clinics a few times with agency- how do docs feel about their jobs?
Tolos
97 Posts
I'm so sorry that happened. It happened to me on med/surg floor a year ago as an RN transitioning from LVN with geriatric experience to floor nursing. I was given the assessment test for travelling nurses I didn't make the score and asked to resign after 9months with them. Now as an infusion nurse at a clinic I am having a time of my nursing life. LOVING IT!!! You may find something better.
Bocephus71RN-BSN, BSN, RN
74 Posts
Hey they missed out having an advance practice nurse who would probably do 3/4 of their work load...lol...Dont get mad get a better job
Vito Andolini
1,451 Posts
I guess the advice to shake off and move on is good but I still would want to know the truth. Slimeballs all. So arrogant, so callous, how dare they not tell her the truth or even ask for her side of it. Who the H do these people think they are? I wish she hadn't resigned. Of course, then she probably would have been fired. Just really p's me off.
But good luck in your new life. And the person who advised great tact in "suggesting" change is so right. Not only in the work setting but any time you are dealing with egos. I guess we should assume that's all the time. Although, I personally appreciate directness.